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Sympathetic Nerve Block, Chest Or Lower Back Level

Kentucky rates for HCPCS 64520

Numbing medication is injected around the sympathetic nerve chain, which runs alongside the spine and controls involuntary functions such as the tightening of blood vessels. The injection can be placed at the chest level or the lower back level, depending on the part of the body involved. It is used for certain long-standing pain and circulation problems, and also to work out whether pain is traveling through these nerves.

Rates data updated July 2026.

How much does Sympathetic Nerve Block, Chest Or Lower Back Level cost?

$2,037

Typical total for the visit. In Kentucky, July 2026.

Insurers have agreed to pay about $2,037 for this procedure. That total is two separate charges: $132 to the doctor who performs it, and $1,905 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$132$74.13 to $209
Facility feeThe hospital or surgery center$1,905$1,000 to $2,630

How much rates vary

Facilitymedian $1,905 · 10th to 90th $209 to $3,236Professionalmedian $132 · 10th to 90th $68 to $324
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,905professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$173.78
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$87.10
Median
$104.71
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$134.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$239.88
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$309.03

Where Kentucky sits

The same service costs 11.9 times more in New Jersey than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $2,037 · 22nd of 50
NJ $5,093ND $428

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.